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05-0998 (RR)Taf 4,4 a" BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Number . . . . 05-00000998- eroperty Radress . . . . . 46775 CAMEO PALMS DR APN: 643-193-013-27 -2117 - Application description RE -ROOF Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 4845 Date 3/21/05 Owner Contractor' ,. COVELY FRED H WESTERN PACIFIC ROOFING CORP PALM SPRINGS CA 92262 (760) WCC: STATE FUND WC: 0457624 04/01/05 CSLB:. 235717 01/31/07 CCC: B C39 ---------------------------------------------------------------------------- Permit . . . . . . RE -ROOF Additional desc Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 30.00 ------------------------------------------------------------ Special Notes and Comments ---------- RE -ROOF WITH 30 YEAR ROOFING SYSTEM Fee summary Charged ',Paid Credited 0. Due", Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 P.O. Box 1504 �� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: D.S' 4? 9 8Date: I Applicant: Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my Lice se is full force and effect. Z3s1 �.) License Class�3 7 icense No. w OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Amer .574' - ,Orirr>~/i? Number o4/Z215,2�c,/ I certify that, in the performance o -the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate <.pplicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes hull and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to c3g4y with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ent pon e a e -me d operty for inspection purposes. ate O Sure (Applicant or Agent): WESTERN PACIFIC Roofing Corporation Since 1949 Lic. #235717 December 18, 2004 Fred Covely RE: Re -roofing Project; 46775 Cameo PaLms, La Quinta CA 92253 Application of 30 -year dimensional sWmgle roofing system. Dear Mr. Covely: Thank you for the opportunity to inspect the roofing system on the above referenced property. Having done so we are pleased to submit our recommendations and proposal for the installation of a 30 -year dimensional shingle roofing system. The recommended scope of work and associated costs is as follows: GENERAL Unless expressly stated to the contrary, the contractor shall be responsible for performing the following acts. DESCRIPTION A. The general conditions of this standard construction contract shall form a part of these specifications with the same force and effort as though repeated herein. B. The contractor shall furnish all labor, materials, equipment. permits, contractor's licenses and insurance certifications to perform all operations required and specified. The contractor shall provide labor and material customarily included in work of the same nature to give a quality, complete job. C. If unexpected conditions are encountered during the work, and the conditions adversely affect the cost or progress of the work, the contractor will notify the owner immediately, and the owner will negotiate a change -order to resolve the unexpected condition. D. The Contractor shall occupy, use, and permit others to use the premises only for the purpose of completing the work to be performed under this contract with the Owner. The Contractor shall not authorize or permit any other person to use said premises for any purpose whatsoever. Western Pacific is to be given all reasonable set-up and staging area. E. Contractor's scope of work shall not include the identification, detection, abatement, encapsulation or removal of asbestos or similar hazardous substances including mold and or mildew. If Contractor encounters any such products or materials in the course of 3462 La Campana Way • Palm Springs,. CA 92262 - (760) 416-5877 - Fax (760) 320-8912 www westpacroofcom - E-mail: wprcps@westpacroofcom Fred Covely December 18, 2004 Page 2 performing work at the jobsite and contractor determines that such materials present a hazard to its employees, contractor shall have the right to discontinue its work and remove its employees from the jobsite until such products or materials, and any hazards connected therewith, are located and abated, encapsulated or removed, or it is determined that no hazard exists (as the case may require), and contractor shall receive an extension of time to complete its work hereunder and compensation for delays encountered as a result of such situation and correction. With the possible existence of mold from pre- existing conditions, Western Pacific roofing Corp. will not be held responsible for mold related claims resulting- from mold detected at any time in the future. INSTALLATION OF A 30 -YEAR DIMENSIONAL ROOFING SYSTEM A. Tear off existing roof system down to the substrate. B. Inspect plywood sheathing for damage. Replace damage sheathing at a rate of $60.00 per sheet or portion thereof. APPLICATION OF DIMENSIONAL SHINGLES A. Install one laver of n30 underlayment. mechanically fastened. B. Install new 2X2 eve metal around the perimeter of the building. (Unpainted) C. Install 30 -year dimensional shingles to Manufacturers' specification. (Color to be selected by Homeowner) D. Install Crown Ridge at the top of the roof. CONTRACT AMOUNT: 54,845.00 WARRANTY A five () year labor and materials warranty will be issued upon completion of the roof and final payment is received. PAYMENT TERMS 10 % deposit upon signing of the contract and the balance due upon completion. Invoice to be paid within ten (10) days of receipt. W&S[M PACIFIC Fred Covely December 18, 2004 Page 3 The price quoted has been structured to reflect standards we assume are mutually desired: quality installation, service reliability and long-term performance. The price may be subject to change 15 days from the date of this proposal. If you are in accordance with the conditions herein, please execute the agreement below and return both copies to this office. We will, in turn, sign them and return one copy to you. Thank you for your cooperation in expediting this contract for your roofing needs. NOTICE TO OWNER Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any questions concerning a contract may be referred to the Registrar, Contractor's State License Board, P.O. Box 26000, Sacramento. California 95826. ACKNOWLEDGMENT: Owner acknowledges that he has read and received a legible copy of this agreement including all terms and standard provisions before any work is performed and that he has read and received a legible copy of every other document that owner has signed during this negotiation. Uwe hereby acknowledge under the penalty of perjury that Uwe am/are the legal owners and am/are authorized to sign this contract as an agent of the legal owner. ACCEPTANCE: The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be as outlined above. You, the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached Notice of Cancellation for an explanation of this right. Owner has the right to require contractor to have a performance and payment bond at owner's expense. FRED COVELY 777-77- 7 !Authorized Agent WESTERN PACIFIC ROOFING, CORP. Contractors License #23717 Ronald R. Winkle Qv� _Project Manager 12/18/04 Title/Date WESTERN PACIFIC ROOFING HAS THE RIGHT TO RESCIND THIS CONTRACT WITHIN FIFTEEN DAYS OF ACCEPTANCE. THIS AGREEMENT IS NOT BINDING UNTIL ACCEPTED BY THE OFFICE . MANAGEMENT AT 3362 LA CAMPANA WAY, PALM SPRINGS, CA 92262. NO CHANGES OR ADDITIONS TO THIS AGREEMENT SHALL BE EFFECTIVE UNTIL APPROVED BY WESTERN PACIFIC MANAGEMENT. MANAGERS ACCEPTANCE: DATE WESTERN PACIFIC �Arv\ta 1 190